Healthcare Provider Details

I. General information

NPI: 1114338563
Provider Name (Legal Business Name): SELECT HEARING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23988 US HIGHWAY 19 N
CLEARWATER FL
33765-1563
US

IV. Provider business mailing address

23988 US HIGHWAY 19 N
CLEARWATER FL
33765-1563
US

V. Phone/Fax

Practice location:
  • Phone: 727-399-8040
  • Fax: 727-214-9315
Mailing address:
  • Phone: 727-399-8040
  • Fax: 727-214-9315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberAS1838
License Number StateFL

VIII. Authorized Official

Name: MR. MICHAEL S WHEELER
Title or Position: OWNER
Credential: BC-HIS
Phone: 727-399-8040